Akbarzade Marzieh, Setodeh Sara, Sharif Farkhondeh, Zare Najaf
Community Based Psychiatric Care Research Center, Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
Department of Midwifery, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran;
Int J Community Based Nurs Midwifery. 2014 Oct;2(4):259-67.
Fathers' cooperation has been less taken into account in the process of pregnancy. The present study aimed to investigate the effect of training the fathers regarding attachment skills on maternal-fetal attachment in primigravida women in 2013.
This randomized controlled trial was performed on 150 qualified pregnant women's husbands. The intervention group took part in four 90-minute sessions of maternal-fetal attachment training held once a week. On the other hand, the control group received the routine pregnancy care. Both groups completed Spielberger's anxiety scale and Cranley's questionnaire before and after the intervention. Then, the data were analyzed using paired and independent t-test. Besides, P<0.05 was considered as statistically significant.
The intervention group's mean score of attachment was 55.98±6.99 and 61.90±5.41 before and after the intervention, respectively. The results of paired t-test revealed a significant difference between the intervention and the control group regarding their mean scores of attachment before and one month after the intervention (P<0.001). Additionally, the results of independent t-test showed a significant difference between the two groups regarding the five dimensions of the questionnaire, namely interaction with the baby (P<0.001), acceptance of maternal role (P<0.001), differentiation between oneself and the baby (P<0.001), attribution of some features to the baby (P=0.01), and self-devotion (P=0.01).
Training the fathers regarding the attachment behaviors and skills led to an increase in the maternal-fetal attachment scores. Thus, paternal training should be considered in pregnancy care programs.
IRCT2012091910886N1.
在孕期过程中，父亲的合作较少受到关注。本研究旨在调查2013年对初产妇父亲进行依恋技能培训对母婴依恋的影响。
本随机对照试验对150名符合条件的孕妇丈夫进行。干预组参加了每周一次、每次90分钟的四次母婴依恋培训课程。另一方面，对照组接受常规孕期护理。两组在干预前后均完成了斯皮尔伯格焦虑量表和克兰利问卷。然后，使用配对和独立t检验对数据进行分析。此外，P<0.05被认为具有统计学意义。
干预组干预前依恋平均得分为55.98±6.99，干预后为61.90±5.41。配对t检验结果显示，干预组和对照组在干预前及干预后1个月的依恋平均得分存在显著差异（P<0.001）。此外，独立t检验结果显示，两组在问卷的五个维度上存在显著差异，即与婴儿的互动（P<0.001）、对母亲角色的接受（P<0.001）、自我与婴儿的区分（P<0.001）、将某些特征归因于婴儿（P=0.01）和自我奉献（P=0.01）。
对父亲进行依恋行为和技能培训可提高母婴依恋得分。因此，在孕期护理项目中应考虑父亲培训。
IRCT2012091910886N1。
